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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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No Vision In Right Eye. Had Internal Lens Implantation. Not Advised Surgery For Left Eye. Want To Get Rid Of Glasses. Suggestions?

hi,im a congential catract patient my right eye has no vision .i can see only through my left eye recently i had a internal lens implantation in my right eye.india s top most doctor said not to do any surgery in my left eye .but i want to do surgery .i want to get rid of my heavy wight glasses.please help me you are my last hope
Fri, 1 Feb 2013
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Ophthalmologist,  's  Response
Dear Lithica, Since you are a case of congenital cataract with one eye functioning many doctors maynot intervene to do the surgery.how you have lost the vision in one eye post surgery may be due to multiple causes like nerve damage due to steriod induced galucoma, retinal detachment post surgery,any associated congenital anomaly etc.If you had no perception of light(PL) before surgery then you will not gain any vision in that eye even after surgery.If you had some perception of light then no PL after surgey then its surgery related complication.Now if you have a congenital cataract in left eye with which you are not able to do day to day activity and your retina is normal then you can go for surgery.If you have already undergone surgery and aphakic, using thick aphakic glasses the you have two options.One go for contact lens and second IOL implantation to get rid of thick glasses.Depending on the present condition, your visual potential, post operative outcome ,risk benefit ratio your ophthalmologist has deferred your surgery.I would advise you to take a second opinion from any pediatric ophthalmologist who can help you out....TC ..Dr Ajay Shankar kar, Cornea consultant, Sankar Foundation eye hospital, Vizag.
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No Vision In Right Eye. Had Internal Lens Implantation. Not Advised Surgery For Left Eye. Want To Get Rid Of Glasses. Suggestions?

Dear Lithica, Since you are a case of congenital cataract with one eye functioning many doctors maynot intervene to do the surgery.how you have lost the vision in one eye post surgery may be due to multiple causes like nerve damage due to steriod induced galucoma, retinal detachment post surgery,any associated congenital anomaly etc.If you had no perception of light(PL) before surgery then you will not gain any vision in that eye even after surgery.If you had some perception of light then no PL after surgey then its surgery related complication.Now if you have a congenital cataract in left eye with which you are not able to do day to day activity and your retina is normal then you can go for surgery.If you have already undergone surgery and aphakic, using thick aphakic glasses the you have two options.One go for contact lens and second IOL implantation to get rid of thick glasses.Depending on the present condition, your visual potential, post operative outcome ,risk benefit ratio your ophthalmologist has deferred your surgery.I would advise you to take a second opinion from any pediatric ophthalmologist who can help you out....TC ..Dr Ajay Shankar kar, Cornea consultant, Sankar Foundation eye hospital, Vizag.